Existing SimplyBiz Member Engagement Form

Please complete all sections

Company Details

Additional Information

The following information is required to take a view of the Association membership at joining.  Any information that is produced from this detail will be aggregated and your firm name will not be used.

Which company provides your Professional Indemnity Insurance?

Renewal date

Which company provides your compliance support?

Please provide the names of two lenders that have provided finance for your customers over the past 12 months.

Does your company have, or intend to have, Appointed Representatives?

Does your company employ sales personnel?

What is your company's total number of customers?

How many employees does your company have?

What was the total amount of lending you referred in the last financial year?

Acknowledgement

The Terms and Conditions for FIBA Membership can be found here.

FIBA will hold information about you and your dealings with us on our database for the purposes of administering our services, maintaining our relationship including providing a more personal level of service to you, improving customer care, research and analysis marketing our services and for legal and regulatory reasons. We will retain information for a reasonable period of time and we may share information about you for the purposes listed above (in the UK and abroad). By providing us with the relevant contact details for fax, mobile and email you consent to contact by these methods.